You'll join a high caliber team where you're assisting, educating, problem-solving and resolving tenuous situations to the best possible outcomes. Bring your people skills, emotional strength and attention to detail. In return we offer the latest tools and most intensive training program in the industry. Get ready to start doing your life's best work.(sm) Positions in this function include those responsible for management and administration of multiple functions, or management of general business operations. This person is responsible for generating financial savings from Waste & Error recoveries as well as maintaining provider credentialing/credentialing. Responsible for achieving SG&A cost goals and reducing unit costs. Manage daily operations of multiple levels of staff and multiple functions/departments across one or more business units. Includes day to day site operations, manage leadership internal and external to organization, accountable for financial (i.e. budgets & forecasts) and non-financial results (i.e. employee engagement). Oversee project management and program execution. Primary Responsibilities Transactions operational leadership for staff in Puerto Rico Client management across UnitedHealth Group entities Responsible for driving operational efficiency initiatives, site leadership/planning, client management, leadership development, and strategic planning Accountable for shared P&L responsibility Drive workforce management planning and forecasting discussions Identify & remove operational barriers. Conduct deep dive program reviews with relevant internal and/or external stakeholders to identify opportunities for continuous improvement Partner with offshore operations to tightly integrate business practices and deliver services at a more affordable rate Establish and/or implement internal and/or external service level agreements in order to ensure ability to monitor and measure program performance (e.g., turnaround time; quality; effectiveness) Identify and/or secure resources (e.g., funding; staffing; system security; real estate and/or telecommuting requirements; hardware/software) required to implement programs Review, create, and/or maintain workflows to ensure they are up-to-date and operationally efficient Provide guidance, expertise, and/or assistance to internal and/or external partners (e.g., claims; call center; benefits; clinical) to ensure programs and strategies are implemented and maintained effectively Communicate with and help internal and/or external partners interpret contractual requirements in order to ensure effective problem solution and strategy implementation Provide input to internal and/or external stakeholders (e.g., sales; shared business partners; pre-service vendors; facilities) in order to drive effective business plan and sales strategy development Work with internal and/or external partners (e.g., claims; call center) to ensure accurate reports are produced to validate program performance review Ensure performance is tracked accurately utilizing internal tools and processes (e.g., dashboards; scorecards; reports) Review consolidated operational performance reports in order to determine overall effectiveness, make necessary changes, and identify opportunities for new programs or program consolidation or expansion Analyze operational performance on relevant criteria (e.g., targeted financial metrics; quality indicators; performance guarantees and/or incentives) Provide standard performance reports (e.g., scorecards) to update relevant internal and/or external stakeholders on the status of work projects Conduct regular meetings (e.g., JOCs; QBRs) with relevant internal and/or external stakeholders to review and discuss updates and outstanding issues (e.g., project implementation readiness; compliance and/or quality audit results; out-of-compliance issues; staffing issues) Develop corrective action plans to address and/or resolve relevant internal and/or external stakeholders' concerns or issues regarding operational issues Partner with relevant internal and/or external stakeholders to develop and/or review potential operational strategies, programs, and plans (e.g., affordability initiatives; quality programs; projected resource needs; training) Communicate and coordinate with and/or help internal and/or external partners interpret contractual requirements in order to ensure compliance with contractual and regulatory stipulations Ensure staff utilize relevant websites required in order to obtain up-to-date policies, guidelines, procedures, and regulations Monitor and/or report on-going compliance and related outcomes (e.g., claim denials; complaints; clinical metrics) to relevant internal and/or external stakeholders (e.g., regulatory agencies; customers; vendors) Ensure that business continuity/emergency response plans are reviewed and tested regularly, up-to-date, and can be readily executed Demonstrate understanding of budgeting and forecasting tools, terminology, and processes Analyze budget performance and variances throughout the fiscal year, and recommend and/or make necessary adjustments and corrections Work with relevant internal partners (e.g., Finance; Underwriting) to identify resource requirements and/or create budgets and forecasts Required Qualifications: Bachelor's degree or HS Diploma/GED with 7 years equivalent experience 7 years management experience 3 years experience driving innovative solutions Strong working knowledge of business process improvement and technology Proven ability to produce superior results in a financial performance oriented environment Proven ability to hire and develop a dynamic and innovative team Proven ability to operate in a highly dynamic environment Strong data acumen to drive fact-based decisions and set prioritization Previous large scale project oversight preferred (e.g. conceptualized project, sold project, monitored project to successful implementation). Strong leadership and strategic planning skills within a matrix environment Preferred Qualifications MBA Experience in healthcare or property & casualty, life and annuities experience desired. Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: San Juan, PR, Puerto Rico, Associate Director Transactions, Bi-lingual Spanish/English Department: Claims - provided by Dice Call Center, Development, Director, Genetic, Hardware, Management, Metrics, Project, Project Management, Sales, Security
Ciudad: san juan
